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I'm 32. Had history of palpitationsHeart palpitations about once a year for maybe 8-9 years with no majorMajor tears Major-gesic discomfort. Always reverted when I would lie down. Got diagnosed after a casual mention to a doctor, who advised ECGEcg Electrocardiogram (ecg) Exercise stress test Post myocardial infarction ecg wave tracings during the episode. Was prescribed DiltiazemDiltiazem Diltiazem hydrochloride Diltiazem hydrochloride cd Diltiazem hydrochloride sr Diltiazem hydrochloride xr Diltiazem hydrochloride xt Diltiazem-enalapril which I took for 3 months and Then got RFA done. That was 2 years ago and I've been asymptomatic since then. Echo was normalNormal saline flush as were other parameters. I've always had a normalNormal saline flush pulse rate of around 88-90/min. It did increase during exercise and fever etc but never alarmingly.
Now I'm pregnant. At 34 weeks during an ECG my HR was 125 per minute accompanied by nonspecific ST and T changes. We suspected it to have some connection with some amount of exertion, my having to lie supine for 5-7 minutes before they could get a graph and I had started feeling uncomfortable. My cardiologist reassured me that I don't have any cardiac abnormality. We then checked my pulse on waking up in morning. It was 90/min. Then I lay down supine for 3-4 minutes before again checking the pulse. It had leapt upto 102/min.
The problem is the hospital where my delivery is scheduled doesn't have a cardiologist. And others are too wary without support and seem to think of my pregnancy as a high risk one.
My questions are
Is my pregnancy really a high risk one?
Is Ceasarian section a certainty?
What kind of complications can be expected during a normal delivery if allowed?
Is presence of a cardiologist mandatory or very important?